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NPI Code Detail

MEDICARE: DIANE D ROMAINE, DMD, PA

MEDICARE: DIANE D ROMAINE, DMD, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry11941MD

General Provider Information

NPI Number : 1972755098
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIANE D ROMAINE, DMD, PA
Provider Business Mailing Address
First Line : 151 BISHOP MURPHY DR
Second Line :
City : FROSTBURG
State : MD
Zip : 21532-1329
Country : US
Telephone Number : 301-689-6780
Fax Number : 301-687-8011
Provider Business Practice Location Address
First Line : 151 BISHOP MURPHY DR
Second Line :
City : FROSTBURG
State : MD
Zip : 21532-1329
Country : US
Telephone Number : 301-689-6780
Fax Number : 301-687-8011
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ALFRED R ROMAINE III
Credential :
Telephone Number : 301-689-6780
Provider Enumeration Date : 10/21/2008
Last Update Date : 10/21/2008

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Directions to “DIANE D ROMAINE, DMD, PA ” Practice Location

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